HomeMy WebLinkAbout14-15853 1
� • CITY OF ZEPHYRHILLS
5335-8TH STREET .
' ; �8is��so-oozo 158 3 _ ��
BUILDING PERMIT f;P "
PERMIT INFORMATION ' LOCATION INFORMATION �
Permit Number: 15853 Address: 38720 8TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT ' Township: Range: Book: .
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ;
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11500-00•0 ,
Improv. Cost: 5,990.00 - OWNER INFORMATION
Date Issued: 12/16/2014 Name: HARTLEY LAWRENCE C & GA �A
Total Fees: 65.00 Address: PO BOX 1723
Amount Paid: 65.00 ZEPHYRHILLS FL 33539-1723
Date Paid: 12/16/2014 Phone:
Work Desc: REROOF SHINGLE �
CONTRACTOR S 1 APPLICATIOId FEES -
A.BAR LETT ROOFI G OF C NTRAL F REROOF RE IDENTIAL 65.00
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Ins ections Re uired �
DR IN ROOF I P
TAPE JOINTS ROOF INSP
FINAL '� �- ��] `! S�
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi�g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permitl there may be additional restrictions applicable to this properly that
may be found in the public records of this county, and�there may be additional permits required from other governmental
entities such as water mana ement, state agencies or federal agencies.
Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
� Complete PI s Specifications Must AccompanylApplication.All work shall be performed in accordance with
City Codes and Ordina�ces. NO OCCUPANCY BEFO C.O.
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C T SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON�HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� ' C/O Richard Bartlett � �B5�-
(��3J 7 7 � Q �� 38408 3rd Ave. � � `� � .� 7 :CJ .
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Zephyrhilis, FL 335
One of the Largest,� Oldest, Most Dependable OFFICE
� Roofing Companies in Central Florida PHONE
Specializing in Mobile Home White.;�omm�rcial Rubber& Color Mefal Roofing �8�3) 782-5585
RESIDENTIAL • CO�MERCIAL • MOBILE HOME (813) 973-7737
LICENSED - INSURED - BONDED E ��352) 523-1944
• MEMBER OF THE CHAMBER OF COMMERC
& BETTER BUSINESS BUREAU • Lic.�CCC 1325499
I h I Land ' Lakes and S ` oundin Areas
Serving Zephyrhills, Dade City, Quail Hollow,�Wes ey C ape , O ,, g
We have re-roofed or repaired more roofs(18,000)in the past 39 years, than fhe four local leading roofin comp 'eru Js combined.
We do nof charge extra fees for credit card purchase.Most companl' charge 3 t�5%. �
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President Owne� A. Bartlett Roofin�g of Central FL, Inc.
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Sign: / � I /1 n e � ( -
�7- / / � Ric�iai C.Bartlett � _
�``-'`—f THANK YOU -� � �
Your Business is Appreciated.��y (���q��/ �.��✓'
Payment upon completion unless previous arrangeme�t made.Warranties pe ain to originaf owner
All arrangements contingent upon strikes,accidents or delays beyond our control'Owner to carry fire,.to�ado and other necessary i�ur�nce. �
Our workers are fully covered by Workmen's Compensation Insurance.C�ustomer is liable for any(�harges incurred in�o1lectifi�-thisbil�.• ' �, '
Rotten wood is an extra$35.00 per sheet(4-ply)J Rotten fascia is$2.00 per linear foot. �TOtal � ' � ��
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o is-iou-uucu C;ity ot Zephyrhills Permit Application Fax-813-780-0021
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8uilding Department
Date Received
Phon Contact for Permittin __
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Oevner's Name I Owner Phone Number
Owner's Address p � — I Owner Phone Number
Fee Simple Titleholder Name , Owner Phone Number
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Fee Simple Titleholder Address
JOB ADDRESS • LOT# �
SUBDI!/ISION PARCEL ID# •
� ` - - -" � - - - - - -(OBTAINED EROM PROPERTV TAX NOTICE)-- _' __ _ ___
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN �] Q DEMOLISH
B INSTALL 8 RE I AIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTIOM Q BLOCK ^ Q , FRAME [_] STEEL Q
DESC6tIPTION OF MIORK
BUILDING SIZE SQ FOO AGE�� HEIGHT
QBUILDING $
LUAT ON OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C.
QPLUMBING $ /
� . �j��s .�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER �� D �' ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER CIOMPANY
SIGfdATURE �2EGISTERED Y/ N FEE CURRE� Y/N
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Address I License#
ELECTRICIAN I OMPANY '
SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
PLUMBER IOMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I Li nse#
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OYHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# -
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submfttal date. IRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 81 dumpster;Site Work Pertnit fo subdivislons/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a LIfe�Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructton.
Minimum ten(10)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciUties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consUuctlon.
Directlons:
Fill out applicatlon completely. �
Owner 8 Contractor sign back of application,notarized
If over 32500,a Notice of Commencement is required. (AIC upgrades over 57500)
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" Agent(for the wntractor)or Power of Attomey(for the owner)would be someone with.notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Servlce Upgrades A/C Fenc s(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOYICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
which may be more restrictive thari County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLiCENSED CONTRACYORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
cont�actors to undertake work, they may be required to be licensed in accordance virith stafe and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will'be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County,
TRANSPORTATION IMPACTIUTILITIES IHAPAC'T AIdD RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
. Lands, Water/Wastewater Treatment. .
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:�
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- , If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGEPIT FOR THE OVIINER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every ' ;issued shall become invalid
unless the work authorized by such pe�rm' �s commenced within six months of p it issuarice,'o� if work authorized by
the permit is suspended or aband� fe�or a�period of six(6) months after the ' e the work�is commenced. An extension
may be requested, in writing rsm the B ilding Official for a period not t xceed ninefy (90) days and will demonstrate
justifiable cause for the e nsion. If w rk ceases for ninety(90)conse tive days, the job is considered abandoned.
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WARNING TO OW R: YOIJR AILURE TO RECORD A NOTI E OF COMM NCEMENT M14Y RESULT IPI YOUR
PAYING TWICE FOFt .ROV ENTS TO YOUR PROPERTY. I YOU7NTE TO OBTAIN FINANCING CONSULT
IiVITH-YOUEt LENDER AN . TT01tNEY�EFORE RECORDING YOU NO� CE OF COMIIAENCEMENT.� -
FLORIDA JURAT(F.S. 117. )-- � `l _ ; � - -- - - - -- - - --- --
i OIiYWER OR AGENT� / i �-" COfITRA OTC R �' � _
Subscribed and swom (or a ed)b�fare me th(s � �Gbscrlbed and s orfi o(or/a`rmed)before me this
;: by / — / b
Who islare�personall known to m�r has/have produced Who Is/are perso ally k own to me or has/have produced
� �as IdentlficaUon. ��� as identlfication.
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Notary Public Notary Public
Commisslon No. Commfssion No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped